Other home remedies for sinus infections include:. Although antibiotics are not always warranted for sinus infections, there are some instances in which a person should seek medical care. If you are suffering from symptoms of a sinus infection, you may need to see your healthcare provider.
Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Cleveland Clinic. Sinus infection. Updated June 4, Updated October 26, KidsHealth from Nemours. What happens when antibiotics are overused? Updated July Egan M, Hickner J. Saline irrigation spells relief for sinusitis sufferers. J Fam Pract. Dehler, J. Allina Health. Ten home remedies to relieve sinus pain and pressure.
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I Accept Show Purposes. Table of Contents View All. Table of Contents. Antibiotic Treatment. OTC Treatment. People with the condition usually have a stuffy nose combined with yellow, green, or gray nasal discharge plus pain or pressure around the eyes, cheeks, forehead, or teeth that worsens when they bend over. Even when bacteria are the cause, the infections often clear up on their own in a week or so.
About one in four people who take antibiotics have side effects, such as stomach problems, dizziness, or rashes. Those problems clear up soon after stopping the drugs, but in rare cases antibiotics can cause severe allergic reactions. That makes you more vulnerable to antibiotic-resistant infections and undermines the good that antibiotics can do for others. If you abuse antibiotics now, we may not have any options left when you really need them!
Bacterial antibiotic resistance is a significant problem in Richmond, Virginia, and throughout the United States. Many of the common bacteria that can cause sinusitis carry a gene for antibiotic resistance that can be turned on in the presence of antibiotics.
After a few days of treatment, the gene becomes activated and can even travel between bacteria in a capsule called a plasmid , creating resistance among a large population of bacteria. If you are not responding to a course of antibiotics within days, you may have a resistant strain of bacteria.
Consult your physician for an examination and possible culture or DNA analysis of your sinuses. DNA analysis of sinus drainage allows us to identify the most dangerous resistant strains within 24 hours and to provide a complete analysis of all bacteria in your nose within 1 week.
Amoxicillin remains the drug of choice for acute, uncomplicated bacterial sinusitis. Amoxicillin is most effective when given frequently enough to sustain adequate levels in the infected tissue. While often prescribed twice daily, it is even more effective if taken in 3 or 4 divided doses. Amoxicillin is typically prescribed for days at a time. While it is critical to finish the entire 10 day course of antibiotics when treating strep throat, there is evidence that shorter courses of treatment may be sufficient for most cases of sinusitis.
Amoxicillin is closely related to the parent compound penicillin and should not be prescribed in patients who are penicillin allergic. Azithromycin is an alternative treatment for patients who are allergic to amoxicillin. The principal advantage of the azithromycin is convenience — the recommended treatment for acute sinusitis is mg once daily for only 3 days. Unlike amoxicillin, the effectiveness of a azithromycin is enhanced by giving a large single dose rather than spreading the doses out.
For this reason, a course of azithromycin should be completed in 3 days or less for sinusitis as in a Zithromax Tri-Pak , and should not be spread out over 5 days as in a Zithromax Z-Pak. Azithromycin induces antibiotic resistance to itself quickly if prescribed in doses that are too low to kill the bacteria.
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